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Tuberculosis Genetic Test

West Virginia rates for HCPCS 87555

Looks for the genetic material of the bacterium that causes tuberculosis in a sample such as coughed-up phlegm, using a matching probe that binds that material directly rather than a step that copies it first. Because the organism grows very slowly in the laboratory, reading its genetic material shortens the wait from weeks to a much shorter turnaround, which matters for starting treatment and limiting spread.

Rates data updated July 2026.

How much does Tuberculosis Genetic Test cost?

$21.88

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $23.99 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$21.38$19.95 to $22.91
FacilityA hospital or hospital-owned outpatient department$23.99$21.88 to $40.74

How much rates vary

Facilitymedian $24 · 10th to 90th $22 to $41Professionalmedian $21 · 10th to 90th $18 to $23
$20$50$100facility $24professional $21

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$23.99
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$21.38
Typical High
$22.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
CareSource
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$50.12
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$134.90
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.49
Typical High
$29.51

Where West Virginia sits

The same service costs 3.3 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 42nd of 51

$21.88

AK $60.26DE $18.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.